Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Trientine hydrochloride
Drug ID BADD_D02280
Description Triethylenetatramine (TETA) is a highly selective divalent Cu(II) chelator and orphan drug that revereses copper overload in tissues. Its salt form, trientine (triethylenetetramine dihydrochloride or 2,2,2-tetramine) was introduced in 1969 as an alternative to D-penicillamine. It consists of a polyamine-like structure different from D-penicillamine, as it lack sulfhydryl groups. It was previously approved by FDA in 1985 as second-line pharmacotherapy for Wilson's disease. Although penicillamine treatment is believed to be more extensive, TETA therapy has been shown to be an effective initial therapy, even with patients with decompensated liver disease at the outset, and prolonged TETA treatment is not associated with adverse effects as expected in penicillamine treatment. Its clinical applications on cancer, diabetes mellitus, Alzheimer's disease and vascular demetia are being studied.
Indications and Usage Trientine is a copper chelator used in the treatment of Wilson's disease as an alternative to D-penicillamine. It tends to be used in patients who are experiencing serious adverse effects from penicillamine therapy or intolerance of penicillamine.
Marketing Status Prescription
ATC Code A16AX12
DrugBank ID DB06824
KEGG ID D00736
MeSH ID D014266
PubChem ID 71433
TTD Drug ID D09VOK
NDC Product Code 59285-026; 69539-078; 68475-200; 68682-212; 49884-060; 0187-2120; 70966-0016; 69575-4003; 42973-184; 50379-0017; 0527-4068; 68022-7052; 72205-008; 16571-810; 76339-133; 65392-2901; 0591-4910; 43598-459; 58159-031; 70710-1203; 64980-450; 70771-1438
Synonyms Trientine | Triethylenetetramine | Trien | Syprine | Trientine Hydrochloride | Trientine Dihydrochloride
Chemical Information
Molecular Formula C6H20Cl2N4
CAS Registry Number 38260-01-4
SMILES C(CNCCNCCN)N.Cl.Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal pain07.01.05.002--
Abdominal pain upper07.01.05.003--
Aphthous ulcer07.05.06.002--Not Available
Asthenia08.01.01.001--Not Available
Dyspepsia07.01.02.001--
Dystonia17.01.03.001--Not Available
Gastritis07.08.02.001--
Hypochromic anaemia01.03.02.004--Not Available
Iron deficiency14.13.02.002--Not Available
Malaise08.01.01.003--
Melaena07.12.02.004; 24.07.02.013--Not Available
Muscle spasms15.05.03.004--
Myalgia15.05.02.001--
Myasthenia gravis17.05.04.001; 15.05.08.001; 10.04.05.001--
Pain of skin23.03.03.003--
Rhabdomyolysis15.05.05.002--
Skin exfoliation23.03.07.003--Not Available
Skin fissures23.03.03.008--Not Available
Skin hypertrophy23.01.04.002--Not Available
Systemic lupus erythematosus23.03.02.006; 15.06.02.003; 10.04.03.004--Not Available
Decreased appetite14.03.01.005; 08.01.09.028--
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